Individual
DR. LUCIANO JO SARABOSING JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2108 N LAURENT ST, VICTORIA, TX 77901-5451
(361) 578-3604
(361) 576-4397
Mailing address
806 CHARLESTON DR, VICTORIA, TX 77904-3822
(361) 574-8553
(361) 574-8583
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
J7177
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0038MN
BLUECROSSS BLUESHIELD
TX
05
—
135718809
—
TX
01
—
16758440
DRIVER'S LICENSE
TX
05
—
170867901
—
TX
05
—
170867902
—
TX
01
—
45D1037942
CLIA
TX
01
—
J7177
STATE MEDICAL LICENSE
TX
01
—
N0089582
TEXAS CONTROLLED SUBSTANC
TX
Enumeration date
05/28/2006
Last updated
03/07/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us